| NPI | 1669664827 |
|---|---|
| Former Name | ANGELA M HAWKINSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA06822) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 2762) |
| 363A00000X Physician Assistant (Licence: IL 085.003009) | |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2013-02-08 |